FORM 1023-EZ for VGFD COMMUNITY LIFESAVER ASSOCIATION

Field Data
EIN 82-3106725
Case Number EO-2017292-000309
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name VGFD COMMUNITY LIFESAVER ASSOCIATION
Organization’s Mailing Address 513 HIGHLAND AVE
City VINE GROVE
State KY
ZIP 40175
Accounting period End 12
Primary contact name SAMUEL T PEARSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MATTHEW BROCK
PRESIDENT
109 CHERRYWOOD DRIVE
VINE GROVE KY 40175

Officer/Director/Trustee Two

CHRISTOPHER CLARK
1ST VICE PRESIDENT
6525 FLAHERTY RD
VINE GROVE KY 40175

Officer/Director/Trustee Three

JEFF RITCHIE
2ND VICE PRESIDENT
139 WEST PIEDMONT ST
VINE GROVE KY 40175

Officer/Director/Trustee Four

RUBEN VERDE
SECRETARY
624 JIMWOOD DR
VINE GROVE KY 40175

Officer/Director/Trustee Five

SAMUEL PEARSON
TREASURER
152 ICICLE CT
RADCLIFF KY 40160

Organization’s website VINEGROVEFIRE.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/3/2005
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M24 - Fire Prevention, Protection, Control
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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